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Cited by 132Cancer survivorship and careAnxiety, Depression, Psychometrics, Treatment, Cognitive ProcessesCOVID-19 and Mental Health

Uncertainty and psychological adjustment in patients with lung cancer

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Kurita, Keiko, Garon, Edward B., Stanton, Annette L., Meyerowitz, Beth E.·2013·Psycho-Oncology
DOI 10.1002/pon.3155PMC PMC4036804
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Abstract

Background: For many patients with lung cancer, disease progression occurs without notice or with vague symptoms, and unfortunately, most treatments are not curative. Given this unpredictability, we hypothesized the following: (1) poorer psychological adjustment (specifically, more depressive symptoms, higher perceptions of stress, and poorer emotional well‐being) would be associated with higher intolerance for uncertainty, higher perceived illness‐related ambiguity, and their interaction; and (2) greater avoidance would mediate associations between higher intolerance of uncertainty and poorer psychological adjustment. Methods: Participants (N = 49) diagnosed with lung cancer at least 6 months prior to enrollment completed the Center for Epidemiologic Studies – Depression Scale, the Functional Assessment of Cancer Therapy – Lung Emotional Well‐being subscale, the Perceived Stress scale, the Intolerance of Uncertainty scale, the Mishel Uncertainty in Illness Scale Ambiguity subscale, the Impact of Event – Revised Avoidance subscale, and the Short‐scale Eysenck Personality Questionnaire – Revised Neuroticism subscale. Mean age was 64.2 years (standard deviation [SD] = 11.0), mean years of education was 15.6 (SD = 3.1), and 71.4% were female. Hypotheses were tested with regression analyses, adjusted for neuroticism. Results: Higher perceptions of stress and poorer emotional well‐being were associated with higher levels of intolerance of uncertainty and higher perceived illness‐related ambiguity. Non‐somatic depressive symptoms were associated with higher levels of intolerance of uncertainty. Avoidance was found to mediate relations of intolerance of uncertainty with non‐somatic depressive symptoms and emotional well‐being only. Conclusions: Findings suggest that interventions to address avoidance and intolerance of uncertainty in individuals with lung cancer may help improve psychological adjustment. Copyright © 2012 John Wiley & Sons, Ltd.

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  • Recent evidence suggests that intolerance of uncertainty may be associated with poor quality of life in patients with different cancer conditions.

    “recent evidence has suggested that IU may be associated with poor QoL in patients with different cancer condition”

    From Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress (2022) · cites this paper as [6]

    The Results report that higher intolerance of uncertainty was associated with less emotional well-being in patients with lung cancer. The study does not establish that association across different cancer conditions, and it measured psychological adjustment rather than overall quality of life. (LLM, conf=0.88)

    Experimental — accuracy not yet measured

  • The majority of studies exploring the relationship between body image distress and quality of life in patients with head and neck cancer have not considered important psychological variables related to quality of life, or have considered only some of these variables.

    “the majority of the studies exploring the relationship between body image distress and QoL have not considered important psychological variables related to QoL in patients with HNC (e.g., coping strategies, social anxiety symptoms, self-esteem, intolerance of uncertainty, and presence of pain), or have considered only some of these variables”

    From Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress (2022) · cites this paper as [6]

    The Discussion examines uncertainty and psychological adjustment in patients with lung cancer; its mention of quality of life also concerns lung cancer. Searches for head and neck cancer, body image distress, and the claimed omissions in prior studies found no passage addressing whether most such studies considered the listed psychological variables. (LLM, conf=0.76)

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Authors
Kurita, K., Garon, E. B., Stanton, A. L., & Meyerowitz, B. E.
Affiliations
  • University of Southern California (US)
  • University of California, Los Angeles (US)
Corresponding author
Meyerowitz, Beth E.
ORCID
Venue
Psycho-Oncology
Publisher
Wiley
Published
2012-08-13
Volume
22
Issue
6
Pages
1396-1401
ISSN
  • 1057-9249 (ISSN-L)
  • 1099-1611
DOI
10.1002/pon.3155
PMC
PMC4036804
OpenAlex
W1906604574
Cited by
132
References
42
Citations by year
2026: 6 · 2025: 13 · 2024: 13 · 2023: 14 · 2022: 10 · 2021: 18 · 2020: 11 · 2019: 7 · 2018: 7 · 2017: 7 · 2016: 7 · 2015: 9 · 2014: 7 · 2013: 1 · 2012: 1
FWCI
2.85
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor)
Locations
  • Psycho-Oncology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Cancer Institute (K23CA149079)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
  • Social Sciences › Psychology › Clinical Psychology › COVID-19 and Mental Health
Keywords
lung cancer, intolerance of uncertainty, psychological adjustment, depressive symptoms, perceived stress, emotional well-being, avoidance, neuroticism, mediation, cancer patients
MeSH terms
Adaptation, Psychological, Adult, Aged, Aged, 80 and over, California, Cross-Sectional Studies, Depression, Emotions, Female, Humans, Lung Neoplasms, Male, Middle Aged, Perception, Psychiatric Status Rating Scales, Surveys and Questionnaires, Socioeconomic Factors, Stress, Psychological, Disease Progression, Uncertainty

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